National Provider Identifier
Jillian Rae Humphrey, LMSW
Jillian Rae Humphrey, LMSW is listed in the NPPES registry with a primary specialty of School Social Worker in Pavilion, NY and a listed phone number of (585) 584-3115.
Profile Overview
- NPI
- 1619854650
- Provider Type
- Individual
- Primary Specialty
- School Social Worker
- Enumeration Date
- August 20, 2025
- Last Updated
- August 20, 2025
Practice Location
- 7014 Big Tree RD
- Pavilion, NY 14525-9138
Phone: (585) 584-3115
Mailing Address
- 9694 Roanoke RD
- Stafford, NY 14143-9536
Specialties
- School Social Worker (1041S0200X)
Full Record
- NPI
- 1619854650
- Entity Type
- Individual
- Last Name
- Humphrey
- First Name
- Jillian
- Middle Name
- Rae
- Credential
- LMSW
- Mailing Street Address
- 9694 Roanoke RD
- Mailing City
- Stafford
- Mailing State
- NY
- Mailing ZIP Code
- 14143-9536
- Mailing Country
- US
- Mailing Phone
- (716) 983-8160
- Practice Street Address
- 7014 Big Tree RD
- Practice City
- Pavilion
- Practice State
- NY
- Practice ZIP Code
- 14525-9138
- Practice Country
- US
- Practice Phone
- (585) 584-3115
- Enumeration Date
- August 20, 2025
- Last Updated
- August 20, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 20, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Social Worker (1041S0200X)